NORTHLAND FOOT & ANKLE SPECIALISTS


Address: 2221 Ford Parkway, Suite 350, St Paul, MN 55116
Phone: 6516988879

NORTHLAND FOOT & ANKLE SPECIALISTS (NPI# 1750609772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750609772
Entity Type Organization
Organization Name NORTHLAND FOOT & ANKLE SPECIALISTS
Other Organization Name HIGHLAND FOOT & ANKLE CLINIC
Practice Address 2221 Ford Parkway
Suite 350
St Paul
MN 55116
Practice Telephone 6516988879
Practice Fax Number 6516987243
Mailing Telephone 6516988879
Mailing Fax Number 6516987243
Enumeration Date 2010-05-14
Last Update Date 2015-05-29
Authorized Official Name DR. SARAH PHELPS WHITTAKER (CEO)
Authorized Official Telephone 6516988879
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist 797 MN Podiatric Medicine & Surgery Service Providers
N 335E00000X Prosthetic/Orthotic Supplier Suppliers
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1760618011 05

Other Provider/Organization Names

Other Name Type Code
Highland Foot & Ankle Clinic Doing Business As Name - Organization

Office Location

Street Address 2221 FORD PARKWAY
SUITE 350
City ST PAUL
State MN
Zip Code 55116

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1972941185 Creations Midwifery, LLC Advanced Practice Midwife 1235 Saint Paul Avenue, Saint Paul, MN 55116 2013-06-10
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1588167886 Wes Utility Services Inc Durable Medical Equipment & Medical Supplies 1064 140th Ave, Ogilvie, MN 56358-3568 2018-03-13
1528579869 Anybattery Inc Durable Medical Equipment & Medical Supplies 2605 160th St W Ste 116, Rosemount, MN 55068-1632 2017-10-13
1801315650 North Star Podiatric Laboratories Inc. Durable Medical Equipment & Medical Supplies 7400 Lyndale Ave S Ste 160, Richfield, MN 55423-4142 2017-09-13
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1972040319 William Edward Goldberg Durable Medical Equipment & Medical Supplies 1254 Robert St S, 1260 South Robert Street, West St Paul, MN 55118-2448 2017-01-24
1639622814 Berkshire Construction Company Durable Medical Equipment & Medical Supplies 2605 Fernbrook Ln N Ste A, Plymouth, MN 55447-4745 2016-07-25
1730541830 Waldoch Crafts, Inc. Durable Medical Equipment & Medical Supplies 13821 Lake Dr Ne, Forest Lake, MN 55025-9444 2016-03-28
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Competitor

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City ST PAUL
Zip Code 55116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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